Basic Information
| Provider Information | |||||||||
| NPI: | 1861513426 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LINDGREN | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | AARON | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1008 S 38TH AVE | ||||||||
| Address2: | |||||||||
| City: | YAKIMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 989023953 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5099651035 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1008 S 38TH AVE | ||||||||
| Address2: | |||||||||
| City: | YAKIMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 989023953 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5099651035 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/02/2007 | ||||||||
| LastUpdateDate: | 07/27/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD60101546 | WA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.